Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth M Andersen, MD

Individual provider Family Medicine Physician · NPI 1386654986

Kenneth M Andersen, MD is a Family Practice in Johnston, Iowa. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1983, 43 years ago. Practices with Mercy Clinics Inc, a 442-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
43
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
IA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5615 NW 86th St
Johnston, IA 50131-1738
Phone: (515) 643-6000
Fax: (515) 643-6001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 24339 (IA)

Record details

NPI number1386654986
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 8, 2006
Last updated in NPPESJanuary 21, 2024
Certification dateJanuary 21, 2024
Mailing addressPo Box 1475, Des Moines, IA 50305-1475

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1983 (43 years in practice)
Group practice Mercy Clinics Inc — 442 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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